Publications by authors named "Michael S Rathleff"

Background: Subacromial pain syndrome (SAPS) is the most common shoulder pain condition in primary care. Despite the importance of shared decision-making (SDM) being increasingly recognised, its application in SAPS care remains poorly understood. The primary aim of this study was to explore the influence of a decision aid on patient and observer perceptions of SDM, and secondarily to explore correlations between these ratings in the primary care management of patients with SAPS.

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Aims/hypothesis: Research agendas are typically set by researchers and funders, meaning that priorities of end users, such as patients and healthcare professionals (HCPs), could be missed or overlooked in research. To ensure future research in prediabetes is of relevance and benefit to people with prediabetes and HCPs, it is important to involve these stakeholders in setting the research agenda. The aim of this study was to establish a top-10 list of the most important research questions in prediabetes (HbA 42-47 mmol/mol [6.

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Background: A clinical decision-support tool (MAP-Knee Tool) was recently developed to support the consultation process between clinicians and adolescents with non-traumatic knee pain and enhance shared decision-making while reducing diagnostic uncertainty.

Objectives: We aimed to assess the feasibility of using the MAP-Knee Tool in an orthopaedic department for adolescents consulting with non-traumatic knee pain.

Design: Feasibility study.

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Background: Cosmetic stature lengthening (CSL) is an elective orthopedic procedure performed to increase height. While clinical outcomes often define technical success, the broader effects on patients’ quality of life, functional recovery, and psychosocial well-being may be inadequately assessed. This review evaluates current outcome measures used in CSL studies in order to identify gaps in capturing patient-centered experiences and life impact outcomes.

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Background: Despite advances in medicine and technology, pain remains a significant global burden. Improving pain education for undergraduate healthcare students is considered an important step toward enhancing pain management. The Neurophysiology of Pain Questionnaire (NPQ) is commonly used to assess pain knowledge in healthcare students, but its validity and reliability in this population remain uncertain.

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Unlabelled: To investigate the 12-months prognosis and prognostic factors of 8-19-year-olds with musculoskeletal pain in general practice. A prospective cohort was conducted in a setting of Danish general practice clinics. Participants were children and adolescents aged 8-19 years old consulting the general practitioner with self-reported musculoskeletal pain completed a questionnaire at baseline, 3-, 6-, and 12-month follow-up.

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Background And Objectives: By definition, patients with transient ischemic attack (TIA) should not have residual symptoms beyond 24 hours. However, preliminary evidence indicates lasting challenges such as fatigue. It is unknown who develops fatigue, and the extent.

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Background: Chronic musculoskeletal (MSK) pain poses a significant societal burden, yet many evidence-based interventions fail to reach clinical practice, highlighting an implementation gap. This study aimed to identify barriers and facilitators in implementing MSK pain interventions across healthcare settings.

Methods: We conducted a scoping review following the Joanna Briggs Institute approach.

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Background: Physical activity (PA) is a first-line treatment for knee osteoarthritis and provides benefits for functional improvement and pain relief. However, movement-evoked pain often hinders PA participation and long-term adherence. The relationship between PA and pain is not fully understood and may vary across individuals.

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Introduction: Greater trochanteric pain syndrome (GTPS) is a common and disabling condition characterised by lateral hip pain. The condition often persists for several months, and there is low evidence for any superior treatment. The aim of this study protocol is to describe a randomised controlled trial (RCT) investigating the effectiveness of a self-management programme versus usual care for patients with GTPS.

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Objectives: To (1) create and evaluate the usefulness of an online evidence-based education resource about running and knee health (eg, knee osteoarthritis) for the public and health care professionals, and (2) assess the online resource's effects on perceptions about running and knee health.

Design: Cross-sectional survey.

Methods: We created an online education resource (series of infographics) in 7 languages with community input.

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Objective: The objective was to co-create an information resource in the form of a leaflet, to be distributed in clinical settings, websites or social media targeting people with low back pain.

Methods: This multi-method study was conducted in four stages: literature search, input from practice consultants, program theory development, and think-aloud interviews with people experiencing low back pain. Each stage was followed by a consensus meeting in which the steering group refined the leaflet based on the emerging knowledge.

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Objectives: Poor sleep is common among young adults and is often associated with pain. This study investigates the relationship between pain-related outcomes, sleep quality, and quality of life (QoL) in young adults with and without knee pain.

Methods: This study is a secondary analysis of the 5-year follow-up of a prospective cohort study.

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Background: Adolescent knee pain was historically viewed as a self-limiting condition. Still, it may severely impact health-related quality of life and physical activity, and almost half of adolescents may continue to experience pain into adulthood. Currently, no tool is available to support the consultation and shared decision-making process when an adolescent suffering from non-traumatic knee pain presents at clinical practice.

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To amplify the voices of people living with atraumatic shoulder pain, their relatives, and health care practitioners, and to establish research questions. A priority-setting study using a modified approach originally formulated by the James Lind Alliance (JLA). The process consisted of 6 phases (initiation, consultation, collation, prioritization, validation, and reporting), and included 2 e-surveys and 2 separate virtual workshops.

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: Pain science education accommodating low health literacy is needed for people with chronic pain. The purpose of this study was to translate PNE4Kids, contextually adapt it into PNE4Adults, and test the feasibility of the newly developed pain science education program (PNE4Adults) for adult patients with chronic musculoskeletal pain in the municipality. : A three-step approach was used to (1) translate PNE4Kids into Danish, (2) adapt to age and context (PNE4Adults), and (3) test the feasibility.

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Background: There are a variety of different treatments for patients living with subacromial pain syndrome (SAPS). All treatments have small to moderate effect sizes, and it is challenging when healthcare practitioners and patients need to decide on which treatment options to choose. The aim of this study was to explore and understand the decisional needs of patients with SAPS, to inform and support the decision-making process.

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Background: Spinal pain affects up to 30% of school-age children and can interfere with various aspects of daily life, such as school attendance, physical function, and social life. Current assessment tools often rely on parental reporting which limits our understanding of how each child is affected by their pain. This study aimed to address this gap by developing MySpineData-Kids ("MiRD-Kids"), a tailored patient-reported questionnaire focusing on children with spinal pain in secondary care (Danish hospital setting).

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Letter to the Editor-in-Chief in response to article "Heel Pain - Plantar Fasciitis: Revision 2023" by Koc et al. .

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Background And Purpose:  The heterogeneous outcomes used in lower-limb lengthening surgery (LLLS) complicate evidence synthesis, weakening systematic reviews and clinical recommendations, and reducing research impact. This scoping review maps the outcomes and outcome measurement instruments (OMIs) used in LLLS.

Methods: This pre-registered review systematically identified studies reporting outcomes in adults or children who underwent LLLS.

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Objectives: The aim was to investigate changes in sedentary time during an activity modification strategy for sports-active adolescents with patellofemoral pain (PFP) and Osgood-Schlatter (OSD).

Design: Explorative ancillary analysis of two different prospective clinical trials with two different endpoint timelines.

Methods: 202 adolescents with either PFP or OSD were included.

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Background And Purpose: Emerging evidence indicates lasting impairments in patients with transient ischaemic attack (TIA), which may be unexpected as symptoms per definition recover within 24 h. How these impairments impact return to work or the ability to maintain independence is unknown. The aim of our study was to investigate the need of sick leave or homecare following TIA compared with acute ischaemic stroke (AIS).

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Background: Postoperative rehabilitation exercise is commonly prescribed after total hip arthroplasty (THA), but its efficacy compared to no or minimal rehabilitation exercise has been questioned. Preliminary efficacy would be indicated if a dose-response relationship exists between performed exercise dose and degree of postoperative recovery. The objective was to evaluate the preliminary efficacy of home-based rehabilitation using elastic band exercise on performance-based function after THA, based on the association between performed exercise dose and change in performance-based function (gait speed) from 3 (start of intervention) to 10 weeks (end of intervention) after surgery.

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